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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 6, 2024 6:57 PM CDT
Next Update: Tuesday, May 7, 2024 2:50 AM CDT

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SMITH, JENNIFER EILEEN
Practice Address: 820 NE 15TH ST
OKLAHOMA CITY OK 73104

Address last updated on 3/28/2024
Phone #: (405) 271-6242
Fax #: (405) 271-2887
County: OKLAHOMA
License: 2119
Dated: 5/9/2012
Expires: 3/31/2025
Temp. Ltr. Issued: 2/17/2012
Temp. Ltr. Expires: 5/17/2012
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
820 NE 15TH ST
OKLAHOMA CITY OK 73104

Phone #: (405) 271-6242
Fax #: (405) 271-2887

Hospital Privileges:

St. Anthony Hospital (SSM Health)
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
FARHAT HUSAIN MD 17893
JUDITH ANN JAMES MD 19878
GABRIEL PARDO MD 20570

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